| NPI | 1609328475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VOGEL Sole Proprietor 402-393-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1406) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |